| NPI | 1003315979 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBYN M SOWERS Practitioner 360-556-6374 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: WA lf60671036) |
| Additional Taxonomies | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2018-02-06 |
| Last Update Date | 2024-01-16 |